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Up, Down, and ... Ouch!

It goes something like this: “Summer’s coming! Time to slim down.” Then, “Dessert? Yummy!” Followed by, “I can’t fit in my pants! Gotta cut back.” This is yo-yo dieting, when your weight has more ups and downs than a hotel elevator. It catches women and men, the young and the old. And it’s not just your waistline that takes a hit. It may hurt your long-term health, too.

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Fruitless Chase

Atkins. Paleo. Whole360. Fruitarian. Skip gluten on Wednesdays unless it’s a full moon. No matter which diet your try, the data is in. And the message is clear: Diets don’t work. At least not in the long run. Sure, you can lose weight, but after a year, at least 1 in 3 of us gain it back. After 5 years? Almost no one keeps it off.

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leptin illustration
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Your Hunger on Overdrive

Your fat cells make a hormone called leptin. It tells your brain when you have enough fat stored up. As you lose weight, less fat means less leptin. That makes you hungry. Plus, your body slows things down to save energy. So once you quit the diet, you have an oversized appetite but you burn fewer calories. That’s partly why after several cycles of yo-yo diets, you might weigh more than when you started.

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woman looking in fridge
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More Fat, Less Muscle

When you drop pounds from your body, you lose both fat and muscle. When you gain it back, fat gets the fast lane and builds up first. But your appetite stays in high gear until your muscle returns, which means you keep adding fat, too. Oddly, this seems more of a problem for lean people than those who are overweight. Repeat the cycle over and over, and you get the triple whammy of more weight and fat and less muscle.

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enlarged heart
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Deep Changes Inside Your Body

Just a few extra pounds can set off huge changes in your body. You get more inflammation, which normally helps you fight disease. And it can harm your heart and make you more resistant to insulin. Genes that can lead to an enlarged heart get switched on, too. Lose the weight, and you mostly erase these changes. But you don’t totally reset, and the long-term health effects are unclear.

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stressed woman
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Link Between Stress and Fat

Dieting isn’t easy. Every episode of weight gain and weight loss can toy with your mind. That alone might raise your level of cortisol, the stress hormone. And when you cut your calories? That does it, too. That’s a problem because high cortisol means you’re more likely to add fat around your belly, which raises your risk for problems like diabetes and heart disease.

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binge eating
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A Path to Binge Eating

Not everyone who yo-yo diets ends up bingeing, but it can set you up for it. It’s like stretching a rubber band too tight. When you finally let go of all the tension around short-term, gotta-lose-weight-now thinking, it’s a perfect storm to let loose. And it’s very harmful for young people, especially girls. Teens and preteens who call themselves dieters are more likely to binge eat and become overweight.

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man holding chest
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Links to Heart Disease

Scientists aren’t yet sure what yo-yo diets do to your heart over time. But the results so far don’t look good. In the short term, regaining weight stresses your heart and blood vessels. A large study showed that the more your weight goes up and down, the more you’re likely to have problems like angina, heart attack, and stroke. And the bigger the swings, the bigger the risk.

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Links to Gallstones

You’ve heard of kidney stones. Well, your gallbladder can get stones, too. Being overweight can make you get them. Tricky thing is, so can losing weight too quickly, like on a crash diet. As you repeat the weight gain-loss cycle, your chances for having a gallstone keep going up. And the odds rise higher the more weight you lose and regain.

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gut bacteria
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Messes With Gut Bacteria

Your gut’s loaded with germs. Don’t cringe. They help you digest food. And it turns out that yo-yo dieting can change the number and types of bacteria hanging out inside you. Since they play a role in everything from heart health to depression, that could affect your overall health, too.

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variety of food
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Variety Is Your Friend

Skip fats. Never mind. Skip carbs. Go high in proteins? When you swing from one fad to the next, your body’s going to feel like a, well, yo-yo. And the more extreme you get, the more problems might arise. Food is a necessity, but it can start to feel like the enemy. If you don’t eat a healthy assortment, you may not get all the nutrients you need. And that can lead to serious health issues. 

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forked trail
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Give Yo-Yo a Shove

Scientists are divided on what yo-yo dieting means for your long-term health. Some say it’s not an issue. Others say that it affects everything from your bones to your risk for diabetes and cancer.  The upshot? It’s complicated. We do know this. If you’re stuck in a yo-yo pattern, something isn’t working. And if it might harm you to boot, it’s time for a different path to a healthy weight.

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friends working out
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Shift Your Mindset

Diets suck you into short-term thinking, and they can mess with your feelings around food. So it helps to step back and reset. Why do you diet? If you want to be healthier, it’s really about changing how you eat for the long term. You’ll also need to exercise regularly to keep the pounds off. So ditch the idea of a quick fix and think about how to make changes that can really work for you.

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weight loss journal
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Set Realistic Goals

To get healthy, you need a plan that fits your life. Set goals that are small, clear, and doable. Instead of aiming to lose 20 pounds, maybe start with a pound a week. Or practice mindful eating for a week. Notice when you feel hungry or full, chew with attention, and savor your food. Start small and add more goals as you go along. It’s easier to stay motivated when you set yourself up for success.

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doctor talking to patient
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Get Team Support

It’s not a matter of willpower. Your body doesn’t want to shed the weight, and it’s got all kinds of ways to hang on to it. That means you, too, need to pull hard. Gather up a team. Talk to your doctor and a dietitian. Get friends and family involved, or find an online community. You’ll need them. And tap into technology, like apps that help you track what you eat and how much exercise you get.

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Sources | Medically Reviewed on 04/07/2020 Reviewed by Melinda Ratini, DO, MS on April 07, 2020


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International Journal of Exercise Science: “Consequences of Weight Cycling: An Increase in Disease Risk?”

Obesity Review: “Pathways from dieting to weight regain, to obesity and to the metabolic syndrome: an overview,” “How dieting makes the lean fatter: from a perspective of body composition autoregulation through adipostats and proteinstats awaiting discovery.”

Hormone Health Network: “What Is Leptin?” “What Is Cortisol?”

Cell Systems: “Integrative Personal Omics Profiles during Periods of Weight Gain and Loss.”

Psychosomatic Medicine: “Low Calorie Dieting Increases Cortisol.”

Yale News: “Study: Stress may cause excess abdominal fat in otherwise slender women.”

International Journal of Obesity: “Association of weight change, weight control practices, and weight cycling among women in the Nurses' Health Study II.”

National Centre for Eating Disorders: “The Psychology Of Dieting.”

Pediatrics: “Relation Between Dieting and Weight Change Among Preadolescents and Adolescents.”

The New England Journal of Medicine: “Body-Weight Fluctuations and Outcomes in Coronary Disease.”

National Institute of Diabetes and Digestive and Kidney Diseases: “Dieting and Gallstones.”

University of Washington, Center for Ecogenetics and Environmental Health: “Fast Facts about the Human Microbiome.”

Current Opinion in Gastroenterology: “The gut microbiome in health and in disease.”

Clinical Psychopharmacology and Neuroscience: “The Gut-Brain Axis: The Missing Link in Depression.”

Obesity Action Coalition: “The Risks of the Crash Diet.”

Mayo Clinic News Network: “Mayo Clinic Q and A: Planning for Successful Weight Loss.”

Mayo Clinic: “Weight loss: 6 strategies for success,” “Weight-loss goals: Set yourself up for success.”

HelpGuide.org: “How to Lose Weight and Keep It Off.”

Harvard Health Publishing: “7 habits to help you lose weight and keep it off.”

Reviewed by Melinda Ratini, DO, MS on April 07, 2020

This tool does not provide medical advice. See additional information.

THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.